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Clinical Uses of Cervical Vestibular-Evoked Myogenic Potential Testing in Pediatric Patients
Authors:Guangwei Zhou  Jenna Dargie  Briana Dornan  Kenneth Whittemore
Affiliation:Department of Otolaryngology and Communication Enhancement (GZ, JD, BD, KW), Boston Children’s Hospital; and Department of Otology and Laryngology (GZ, KW), Harvard Medical School, Boston, Massachusetts.
Abstract:To demonstrate the feasibility and clinical significance of cervical vestibular-evoked myogenic potential (cVEMP) test in pediatric patients.Retrospective review study was conducted in a pediatric tertiary care facility. A total of 278 patients were identified with adequate data, including medical notes, results of cVEMP, and imaging studies.Among the total of 278 pediatric patients, only 3 children were not able to finish the cVEMP test successfully. In about 90% of the cases, the cVEMP test was requested to investigate a patient’s hearing loss and/or vestibular complaints. Over 90% of the cVEMP tests were ordered by specialists such as pediatric otolaryngologists or otologists. Obtained cVEMP results provided useful information in clinical diagnosis and management in all cases.It is feasible to conduct cVEMP testing in children, including infants, and cVEMP testing can provide valuable information in the diagnosis and management of hearing loss and vestibular impairment. This simple and noninvasive test should be embraced by pediatric professionals.
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